NPI registry status
Active
2026 NPPES data Corneal and Contact Management Optometrist NPI 1730174822 OD
Verify on CMS → Benjamin Fogal, OD
Corneal and Contact Management Optometrist in Bloomington, Minnesota.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,548 in Corneal and Contact Management Optometrist, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
2K
Medicare Part D claims · 455 beneficiaries · Corneal and Contact Management Optometrist avg: 235
Generic prescribing
71%
generic claims · 29% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.2/100
▲ 2 pts above national avg 83.1 · Above neutral
Industry payments
$77.96
5 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Benjamin Fogal, OD reported a CMS MIPS final score of 85.2/100 - above the 83.1 national average - and filed 1,808 Medicare Part D claims in 2023.
- 85.2/100
- MIPS score · +2 vs avg
- 2K
- Part D claims, 2023
- 71%
- generic prescribing
- $77.96
- industry payments (Sunshine Act)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Benjamin Fogal, OD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
85 49th percentile higher than 49% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Benjamin Fogal, OD sits
This provider among corneal and contact management optometrist peers
Across the 150 corneal and contact management optometrist providers who report both Medicare Part D prescribing and a MIPS quality score, Benjamin Fogal, OD writes more Part D claims than 97% of them and scores higher on MIPS quality than 44% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one corneal and contact management optometrist peer from a representative sample of 60; the gold marker is Benjamin Fogal, OD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Benjamin Fogal, OD?
High performer (top quartile)Primary specialty
Corneal and Contact Management Optometrist
Medicare Part D claims
1,808 8× vs specialty avg
MIPS final score
85.2/100 2.1 pts vs avg
Specialty distribution in Minnesota
How Corneal and Contact Management Optometrist compares to other specialties among Minnesota providers
Medicare quality performance, MIPS
Benjamin Fogal, OD's 2023 MIPS final score plotted against the Corneal and Contact Management Optometrist national average
- MIPS Final Score
- 85.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Corneal and Contact Management Optometrist) - 85.2/100 vs national avg 83.1
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Benjamin Fogal, OD appears in the CMS NPPES registry as a Corneal and Contact Management Optometrist provider holding OD credentials at 9801 DUPONT AVE S STE 200, Bloomington, MN, 55431, with a listed phone of (952) 888-5800. NPI 1730174822 was issued on 09/14/2005.
Medicare Part D records for calendar year 2023 show 1,808 prescription claims written by this provider, covering 455 Medicare beneficiaries and totaling roughly $177K in drug spend, split 29% brand-name and 71% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 85.2/100 for the 2023 performance year (Quality 97.9, Cost 52.9), compared with the national average of 83.1.
Corneal and Contact Management Optometrist is a narrow specialty nationwide, with 1,548 enrolled providers across 52 states and an average of 235 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1730174822 |
|---|---|
| Specialty | Corneal and Contact Management Optometrist |
| Credentials | OD |
| Gender | Male |
| NPI Issued | 09/14/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
85.2409
Final Score
Avg: 83.1
97.9147
Quality
52.8883
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Benjamin Fogal, OD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Minnesota Eye Consultants, PA
Blaine, MN
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Benjamin Fogal, OD. Source: openpaymentsdata.cms.gov.
Total received
$78
Largest payer
Oyster Point Pharma, Inc.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Brand vs generic prescribing mix · Above average
Benjamin Fogal, OD - brand share 29.0%
Corneal and Contact Management Optometrist average
29% brand-name claims vs 71% generic, on 1,808 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
1,808
Total Claims
$177K
Total Drug Cost
455
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,482
- Total Day Supply
- 100,502
- Brand vs Generic
- 29% brand / 71% generic
- Brand Drug Cost
- $130K
- Generic Drug Cost
- $47K
- Antibiotic Claims
- 17
Patient Demographics
- Average Patient Age
- 76.3 years
- Avg HCC Risk Score
- 1.10
- Gender Split
- 61% female / 39% male
- Age Distribution
- <65: 21, 65-74: 161, 75-84: 203, 85+: 70
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Benjamin Fogal, OD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Latanoprost
Latanoprost
837 claims
- Timolol Maleate 181
Timolol Maleate
181 claims
- Brimonidine Tartrate 168
Brimonidine Tartrate
168 claims
- Dorzolamide-Timolol 123
Dorzolamide-Timolol
123 claims
- Prednisolone Acetate 98
Prednisolone Acetate
98 claims
- Dorzolamide Hcl 53
Dorzolamide Hcl
53 claims
- Restasis 45
Restasis
45 claims
- Lumigan 34
Lumigan
34 claims
| Drug | Claims |
|---|---|
| Latanoprost | 837 |
| Timolol Maleate | 181 |
| Brimonidine Tartrate | 168 |
| Dorzolamide-Timolol Dorzolamide Hcl/Timolol Maleat | 123 |
| Prednisolone Acetate | 98 |
| Dorzolamide Hcl | 53 |
| Restasis Cyclosporine | 45 |
| Lumigan Bimatoprost | 34 |
| Brimonidine Tartrate-Timolol Brimonidine Tartrate/Timolol | 32 |
| Erythromycin Erythromycin Base | 28 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Corneal and Contact Management Optometrist in MN →
All providers in Minnesota →
Compare specialties →
Corneal and Contact Management Optometrist Overview
How Benjamin Fogal, OD fits within the Corneal and Contact Management Optometrist landscape nationally.
1,548
Corneal and Contact Management Optometrist Providers in US
52
States with Corneal and Contact Management Optometrist
235
Avg Claims per Provider
Benjamin Fogal, OD's 1,808 claims are above the specialty average of 235.
Nearby Corneal and Contact Management Optometrist Providers in Minnesota
Other clinicians with the same primary specialty enrolled in Minnesota, drawn from the same CMS NPPES roster as Fogal.
Dr. Alicia Alvarado
OD
Fridley, MN
Dr. Tara Barth
O.D.
Bloomington, MN
Dr. Alyson Blakstad
OD
Minnetonka, MN
Dr. Steven Blashill
O.D.
Inver Grove Heights, MN
Dr. Erin Bremner
O.D.
Ely, MN
Compare Corneal and Contact Management Optometrist nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Minnesota medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Corneal and Contact Management Optometrist peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Benjamin Fogal, OD's specialty? ▼
Benjamin Fogal, OD specializes in Corneal and Contact Management Optometrist and practices in Bloomington, Minnesota. Credentials: OD.
How much does Benjamin Fogal, OD prescribe under Medicare Part D? ▼
In 2023, Benjamin Fogal, OD wrote 1,808 Medicare Part D claims totaling $177K in drug costs for 455 beneficiaries.
What is Benjamin Fogal, OD's Medicare quality score? ▼
Benjamin Fogal, OD has a CMS MIPS Final Score of 85.2/100 (Quality: 97.9, Cost: 52.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Benjamin Fogal, OD located? ▼
Benjamin Fogal, OD is located at 9801 DUPONT AVE S STE 200, Bloomington, MN, 55431. Phone: (952) 888-5800.
What is Benjamin Fogal, OD's NPI number? ▼
Benjamin Fogal, OD's National Provider Identifier (NPI) is 1730174822, issued on 09/14/2005.
Does Benjamin Fogal, OD prescribe more brand-name or generic drugs? ▼
Benjamin Fogal, OD's prescribing is 29% brand-name and 71% generic drugs by claim count, with $130K in brand drug costs.
How many Corneal and Contact Management Optometrist providers are there in the US? ▼
There are 1,548 Corneal and Contact Management Optometrist providers across 52 states in the US. The average Corneal and Contact Management Optometrist provider writes 235 Medicare Part D claims per year.
What drugs does Benjamin Fogal, OD prescribe most often? ▼
Based on 2023 Medicare Part D data, Benjamin Fogal, OD's most frequently prescribed drugs include Latanoprost, Timolol Maleate, Brimonidine Tartrate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Benjamin Fogal, OD accept Medicare? ▼
Benjamin Fogal, OD appears in CMS Medicare data with 1,808 Part D claims and 455 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Benjamin Fogal, OD's credentials? ▼
Benjamin Fogal, OD's NPI is 1730174822 with credentials OD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.